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New Hampshire rates for HCPCS 65400

Excision Lesion Cornea Xcp Pterygium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,950.46 / $8,965.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,462.85 / $1,462.85 / $1,654.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.88 / $643.89 / $1,661.06
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$422.16 / $482.92 / $1,245.80
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$84.43 / $96.58 / $249.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.27 / $892.03 / $1,293.44
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$871.90 / $1,338.04 / $1,940.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.18 / $1,086.68 / $1,625.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.56 / $1,267.78 / $2,356.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.62 / $1,040.20 / $2,014.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.65 / $552.05 / $661.71